I found this thread very helpful today to better understand the data...

If the Government views social security payments to people living with mental health problems as ‘unsustainable’, the answer must surely be to address to determinants of mental health and illness, not to restrict the entitlements of those currently struggling

'Weak resourcing undermines policy objectives'. I agree. What's the point of a policy saying we'll deliver care closer to home and keep them out of hospital when the resourcing is going in the opposite direction? kingsfund.org.uk/insight-and-an…

Always good to see SoS engaging with our work. On particular point about comparison with Wales, accuracy is important. When we analyse BSA we look at differences both over time and between groups and write up when those differences are statistically significant. It isn’t. (Contd)

Top things you need to know about what's going on in adult social care in a thread...

All of the evidence about how to incentivise improvement in health and care would suggest this is a terrible idea. That money could be SO much better spent.

'Why does the work of creating a more equitable future fall primarily to women when the weighted dice are thrown against us and not created by us?' Hong-Anh Nguyen asks in her latest blog: kingsfund.org.uk/insight-and-an…

Must read blog: A Community In The Shadows: Experiences Of A Somali Community In Birmingham | The King's Fund kingsfund.org.uk/insight-and-an… samira ben Omar ✨ Donna Hall ✨ Andrew McCracken Leonora Merry Neil Churchill Olivia Butterworth (She/Her) 💜 Merron Simpson Victor Adebowale

NHS England Here's a bit more about the idea of 'hancocks' caremanagementmatters.co.uk/feature/social…

Today, 10-tweet thread on Solutions from Beccy Baird @KingsFund #careclosertohome report [with a few added comments/questions from me] … 1st off, NO MORE RESTRUCTURING, grow primary/community care, work differently. [Focus on creating health?] (1/10)

Andy Brooks Roger Davidson Couldn't agree more Andy Beccy Baird great paper with more focus needed in :

Workforce

Planning Contracting and Delivering

Estate

Having spent the last few years trying to make this happen for older people there is still much siloed working, lack of prioritisation of primary…

Congratulations to Beccy Baird & colleagues for this brilliant, insightful The King's Fund report on #careclosertohome . I’m honoured to have been an advisor. V useful to have the blockers set out like this. Today, 10 tweet thread on the problems, tomorrow solutions & next steps (1/10)

‘Answer to over-crowded hospitals is not more hospitals’
People struggling to access primary/community care risk their condition deteriorating & having to get urgent help from over-stretched hospitals.
How to address this ?
New from The King's Fund
🧵1/11
kingsfund.org.uk/insight-and-an…

A good summary from The King's Fund in its new report on community services and why this often touted ambition of better community care is always just one long term plan away:

It was great to contribute to this report from The King's Fund ...as always supported by excellent work from colleagues Chartered Society of Physiotherapy

We need to see 'a wholesale shift in the focus towards primary & community care across leadership, culture & implementation'

kingsfund.org.uk/insight-and-an…

for 40 years, the POINT of NHS reform has been to shift care from acute to not acute; from single illness to multiple illnesses, from hospital focus to community
for 40 years we have basically gone backwards

some thoughts here from @thekingsfund

kingsfund.org.uk/insight-and-an…

🚨 Today The King's Fund has published a major new report from Beccy Baird Dr Deborah Fenney & colleagues examining why the long-held ambition to place greater emphasis on primary & community care has not been achieved & proposes solutions to finally make it a reality 🧵kingsfund.org.uk/insight-and-an…

Do we need a new vision for health care? I don’t think so, we just need to deliver the one we’ve had for over 30 years. kingsfund.org.uk/insight-and-an…

Interesting article - I’m yet to be convinced that separating ‘on the day’ from ‘complex’ across multiple practices is either possible or sensible.

anyway, here is the @thekingsfund report published today on the new look website

kingsfund.org.uk/insight-and-an…